Cognitive and Emotional Strain in Brain Tumor Patients: A cross-sectional study in a Resource-Limited Setting.

Objective: To evaluate the cognitive and emotional burden of benign and malignant brain tumors on patients in resource-limited settings to improve quality of life. Methodology: This prospective, cross-sectional study was conducted by the Punjab Institute of Neurosciences (PINS) in Lahore, Pakistan. Patients aged 18 years and older, diagnosed with at least one primary solid tumor and undergoing treatment at two major public hospitals in Lahore and Islamabad, were interviewed between March and April 2025 to assess their levels of mental strain and distress. The results were then analyzed descriptively. Results: The mean age of participants in this study was 36.72 years (SD = 15.74). Among the total sample, 62% (31) were male and 38% (19) were female. Tumors were benign in 66% (33) of cases and malignant in 34% (17). A majority, 56% (28), reported that the tumor had changed their outlook on life, while 16% (8) felt it somewhat changed, 24% (12) remained unchanged, and 4% (2) were unsure. For anxiety, 22% (11) reported daily feelings of nervousness and anxiety, while 30% (15) experienced daily worries. Concentration levels varied, with 50% (25) able to concentrate normally, 30% (15) having some trouble, 6% (3) unable to concentrate on anything, and 14% (7) unable to read, watch TV, or focus at all. In terms of financial burden, 48% (24) perceived a very high burden, 20% (10) felt it was somewhat high, 12% (6) reported a minimal burden, and 20% (10) experienced no burden. Conclusion: A brain tumor diagnosis presents significant challenges for patients, affecting them physically, mentally, and financially. In Pakistan, where mental health is often stigmatized, understanding these challenges becomes even more crucial. By addressing both the physical and mental health needs of patients, especially in resource-limited settings, targeted support can help patients cope more effectively with this devastating illness.